Part B News Features
Question: If our pain management doctors have their imaging read on their behalf by a radiologist (using our imaging equipment) and our doctor performs and documents their own independent interpreta... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Like 2024, 2025 was a year of stasis in use and denial of inpatient-or-observation E/M codes. But providers who are called upon to use them should still watch for changes in billing practices from y... More
Question: If our pain management doctors have their imaging read on their behalf by a radiologist (using our imaging equipment) and our doctor performs and documents their own independent interpreta... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Like 2024, 2025 was a year of stasis in use and denial of inpatient-or-observation E/M codes. But providers who are called upon to use them should still watch for changes in billing practices from y... More
Tools
Find the latest list of designated health services (DHS) that are subject to the Stark physician self-referral rule’s restriction on referrals. The new list went into effect Jan. 1, 2026.
Get a head start on revisions to codes in the E/M, cardiovascular, radiology and medicine chapters of the 2026 CPT Manual. The following chart contains the current and revised long descriptors for codes that CMS released in the proposed 2026 Medicare physician fee schedule and intends to assign an active (A) payment status
Benchmark of the Week
Like 2024, 2025 was a year of stasis in use and denial of inpatient-or-observation E/M codes. But providers who are called upon to use them should still watch for changes in billing practices from year to year.
The trend in E/M office visit (99202-99215) reporting is perhaps best exemplified in the contrasting fall-and-rise of Level 3 and Level 5 established office visit codes: while total claims for 99213 were down 29% in a recent five-year stretch, those for 99215 increased by the same percentage.
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